Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

APPLIER CLIP VCS LG 132907

Facility

$1,293.65

Hospital Charge Code	270600136
Hospital Revenue Code	272
Min. Negotiated Rate	$194.05
Max. Negotiated Rate	$194.05
Rate for Payer: Qualcare PPO/HMO/WC	$194.05

APPLIER CLIP VCS LG 132907

Facility

$1,293.65

Hospital Charge Code	270600136
Hospital Revenue Code	272
Min. Negotiated Rate	$31.18
Max. Negotiated Rate	$646.83
Rate for Payer: Aetna Commercial	$491.59
Rate for Payer: Aetna Medicare Advantage	$388.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$329.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$329.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$329.88
Rate for Payer: Cigna Commercial	$646.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$388.10
Rate for Payer: Oxford Commercial	$258.73
Rate for Payer: Qualcare PPO/HMO/WC	$194.05
Rate for Payer: UnitedHealthcare Commercial	$258.73
Rate for Payer: UnitedHealthcare Community & State	$31.18
Rate for Payer: Wellpoint Medicaid Managed Care	$34.28

APPLIER CLIP VCS MED 132905

Facility

$1,293.65

Hospital Charge Code	270600135
Hospital Revenue Code	272
Min. Negotiated Rate	$194.05
Max. Negotiated Rate	$194.05
Rate for Payer: Qualcare PPO/HMO/WC	$194.05

APPLIER CLIP VCS MED 132905

Facility

$1,293.65

Hospital Charge Code	270600135
Hospital Revenue Code	272
Min. Negotiated Rate	$31.18
Max. Negotiated Rate	$646.83
Rate for Payer: Aetna Commercial	$491.59
Rate for Payer: Aetna Medicare Advantage	$388.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$329.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$329.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$329.88
Rate for Payer: Cigna Commercial	$646.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$388.10
Rate for Payer: Oxford Commercial	$258.73
Rate for Payer: Qualcare PPO/HMO/WC	$194.05
Rate for Payer: UnitedHealthcare Commercial	$258.73
Rate for Payer: UnitedHealthcare Community & State	$31.18
Rate for Payer: Wellpoint Medicaid Managed Care	$34.28

APPLIER CLIP VCS SM/MED/L*****

Facility

$337.00

Hospital Charge Code	1607126
Hospital Revenue Code	272
Min. Negotiated Rate	$8.12
Max. Negotiated Rate	$168.50
Rate for Payer: Aetna Commercial	$128.06
Rate for Payer: Aetna Medicare Advantage	$101.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.94
Rate for Payer: Cigna Commercial	$168.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.10
Rate for Payer: Oxford Commercial	$67.40
Rate for Payer: Qualcare PPO/HMO/WC	$50.55
Rate for Payer: UnitedHealthcare Commercial	$67.40
Rate for Payer: UnitedHealthcare Community & State	$8.12
Rate for Payer: Wellpoint Medicaid Managed Care	$8.93

APPLIER CLIP VCS SM/MED/L*****

Facility

$337.00

Hospital Charge Code	1607126
Hospital Revenue Code	272
Min. Negotiated Rate	$50.55
Max. Negotiated Rate	$50.55
Rate for Payer: Qualcare PPO/HMO/WC	$50.55

APPLIER CLIP VCS XLG 132908

Facility

$1,724.85

Hospital Charge Code	270600137
Hospital Revenue Code	272
Min. Negotiated Rate	$41.57
Max. Negotiated Rate	$862.42
Rate for Payer: Aetna Commercial	$655.44
Rate for Payer: Aetna Medicare Advantage	$517.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.84
Rate for Payer: Cigna Commercial	$862.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$517.46
Rate for Payer: Oxford Commercial	$344.97
Rate for Payer: Qualcare PPO/HMO/WC	$258.73
Rate for Payer: UnitedHealthcare Commercial	$344.97
Rate for Payer: UnitedHealthcare Community & State	$41.57
Rate for Payer: Wellpoint Medicaid Managed Care	$45.71

APPLIER CLIP VCS XLG 132908

Facility

$1,724.85

Hospital Charge Code	270600137
Hospital Revenue Code	272
Min. Negotiated Rate	$258.73
Max. Negotiated Rate	$258.73
Rate for Payer: Qualcare PPO/HMO/WC	$258.73

APPLIER ENDO CLIPS 10mm 544995

Facility

$7,689.95

Hospital Charge Code	270640219
Hospital Revenue Code	272
Min. Negotiated Rate	$1,153.49
Max. Negotiated Rate	$1,153.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.49

APPLIER ENDO CLIPS 10mm 544995

Facility

$7,689.95

Hospital Charge Code	270640219
Hospital Revenue Code	272
Min. Negotiated Rate	$185.33
Max. Negotiated Rate	$3,844.97
Rate for Payer: Aetna Commercial	$2,922.18
Rate for Payer: Aetna Medicare Advantage	$2,306.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,960.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,960.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,960.94
Rate for Payer: Cigna Commercial	$3,844.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,306.99
Rate for Payer: Oxford Commercial	$1,537.99
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.49
Rate for Payer: UnitedHealthcare Commercial	$1,537.99
Rate for Payer: UnitedHealthcare Community & State	$185.33
Rate for Payer: Wellpoint Medicaid Managed Care	$203.78

APPLIER ENDO CLIPS 5mm 544965

Facility

$7,691.25

Hospital Charge Code	270640218
Hospital Revenue Code	272
Min. Negotiated Rate	$185.36
Max. Negotiated Rate	$3,845.62
Rate for Payer: Aetna Commercial	$2,922.68
Rate for Payer: Aetna Medicare Advantage	$2,307.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,961.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,961.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,961.27
Rate for Payer: Cigna Commercial	$3,845.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,307.38
Rate for Payer: Oxford Commercial	$1,538.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.69
Rate for Payer: UnitedHealthcare Commercial	$1,538.25
Rate for Payer: UnitedHealthcare Community & State	$185.36
Rate for Payer: Wellpoint Medicaid Managed Care	$203.82

APPLIER ENDO CLIPS 5mm 544965

Facility

$7,691.25

Hospital Charge Code	270640218
Hospital Revenue Code	272
Min. Negotiated Rate	$1,153.69
Max. Negotiated Rate	$1,153.69
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.69

APPLIER LARGE CLIP

Facility

$7,000.00

Hospital Charge Code	270664216
Hospital Revenue Code	270
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$1,050.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

APPLIER LARGE CLIP

Facility

$7,000.00

Hospital Charge Code	270664216
Hospital Revenue Code	270
Min. Negotiated Rate	$168.70
Max. Negotiated Rate	$3,500.00
Rate for Payer: Aetna Commercial	$2,660.00
Rate for Payer: Aetna Medicare Advantage	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,785.00
Rate for Payer: Cigna Commercial	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,100.00
Rate for Payer: Oxford Commercial	$1,400.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00
Rate for Payer: UnitedHealthcare Commercial	$1,400.00
Rate for Payer: UnitedHealthcare Community & State	$168.70
Rate for Payer: Wellpoint Medicaid Managed Care	$185.50

APPLIER LIGACLIP MCA MED LONG

Facility

$588.25

Hospital Charge Code	270671547
Hospital Revenue Code	272
Min. Negotiated Rate	$88.24
Max. Negotiated Rate	$88.24
Rate for Payer: Qualcare PPO/HMO/WC	$88.24

APPLIER LIGACLIP MCA MED LONG

Facility

$588.25

Hospital Charge Code	270671547
Hospital Revenue Code	272
Min. Negotiated Rate	$14.18
Max. Negotiated Rate	$294.12
Rate for Payer: Aetna Commercial	$223.53
Rate for Payer: Aetna Medicare Advantage	$176.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$150.00
Rate for Payer: Cigna Commercial	$294.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.47
Rate for Payer: Oxford Commercial	$117.65
Rate for Payer: Qualcare PPO/HMO/WC	$88.24
Rate for Payer: UnitedHealthcare Commercial	$117.65
Rate for Payer: UnitedHealthcare Community & State	$14.18
Rate for Payer: Wellpoint Medicaid Managed Care	$15.59

APPLIER LIGACLIP MCA MED SHORT

Facility

$507.15

Hospital Charge Code	270671548
Hospital Revenue Code	272
Min. Negotiated Rate	$12.22
Max. Negotiated Rate	$253.57
Rate for Payer: Aetna Commercial	$192.72
Rate for Payer: Aetna Medicare Advantage	$152.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.32
Rate for Payer: Cigna Commercial	$253.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.15
Rate for Payer: Oxford Commercial	$101.43
Rate for Payer: Qualcare PPO/HMO/WC	$76.07
Rate for Payer: UnitedHealthcare Commercial	$101.43
Rate for Payer: UnitedHealthcare Community & State	$12.22
Rate for Payer: Wellpoint Medicaid Managed Care	$13.44

APPLIER LIGACLIP MCA MED SHORT

Facility

$507.15

Hospital Charge Code	270671548
Hospital Revenue Code	272
Min. Negotiated Rate	$76.07
Max. Negotiated Rate	$76.07
Rate for Payer: Qualcare PPO/HMO/WC	$76.07

APPLIER LIGACLIP MED 20 MCM20

Facility

$258.58

Hospital Charge Code	270608750
Hospital Revenue Code	272
Min. Negotiated Rate	$38.79
Max. Negotiated Rate	$38.79
Rate for Payer: Qualcare PPO/HMO/WC	$38.79

APPLIER LIGACLIP MED 20 MCM20

Facility

$258.58

Hospital Charge Code	270608750
Hospital Revenue Code	272
Min. Negotiated Rate	$6.23
Max. Negotiated Rate	$129.29
Rate for Payer: Aetna Commercial	$98.26
Rate for Payer: Aetna Medicare Advantage	$77.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.94
Rate for Payer: Cigna Commercial	$129.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.57
Rate for Payer: Oxford Commercial	$51.72
Rate for Payer: Qualcare PPO/HMO/WC	$38.79
Rate for Payer: UnitedHealthcare Commercial	$51.72
Rate for Payer: UnitedHealthcare Community & State	$6.23
Rate for Payer: Wellpoint Medicaid Managed Care	$6.85

APPLIER MENISCAL

Facility

$625.00

Hospital Charge Code	270637279
Hospital Revenue Code	270
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

APPLIER MENISCAL

Facility

$625.00

Hospital Charge Code	270637279
Hospital Revenue Code	270
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$15.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.56

APPL MULTLAY COMPRS ARM/HAND

Facility

$331.68

Service Code	HCPCS 29584
Hospital Charge Code	9808330
Hospital Revenue Code	510
Min. Negotiated Rate	$7.99
Max. Negotiated Rate	$696.85
Rate for Payer: Aetna Commercial	$525.10
Rate for Payer: Aetna Medicare Advantage	$625.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$696.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$696.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$193.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$696.85
Rate for Payer: Cigna Commercial	$386.97
Rate for Payer: Cigna Medicare Advantage	$193.05
Rate for Payer: Clover Medicare Advantage	$183.40
Rate for Payer: EmblemHealth Commercial	$579.15
Rate for Payer: Humana Medicare Advantage	$198.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$193.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.75
Rate for Payer: UnitedHealthcare Community & State	$7.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$193.05
Rate for Payer: Wellcare Medicare Advantage	$193.05
Rate for Payer: Wellpoint Medicaid Managed Care	$8.79

APPL MULTLAY COMPRS ARM/HAND

Facility

$331.68

Service Code	HCPCS 29584
Hospital Charge Code	9808330
Hospital Revenue Code	510
Min. Negotiated Rate	$49.75
Max. Negotiated Rate	$49.75
Rate for Payer: Qualcare PPO/HMO/WC	$49.75

APPLY FINGER SPLINT STATIC

Facility

$322.82

Service Code	HCPCS 29130
Hospital Charge Code	412329130
Hospital Revenue Code	361
Min. Negotiated Rate	$7.78
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$570.55
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.85
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.42
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$7.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$8.55

Know your out-of-pocket cost for care.

All Charges